Benefits

                    
    For a brief overview of the benefits offered to you please refer to this document.

        
     

  1. Health Insurance through Anthem
    Information:

    *2019 - 2020 Open Enrollment will be August 20 - 30, 2019*

    October 1, 2019 - September 30, 2020 Plan Year:
    2019-2020 Benefit Booklet

    October 1, 2018 - September 30, 2019 Plan Year:
    2018-2019 Benefit Booklet
    2018-2019 Anthem Rates

    2018-2019 HMO Detail Benefit Description
    2018-2019 Lumenos Detail Benefit Description 
    2018-2019 PPO Detail Benefit Description

    2018-2019 Lumenos Enrollment Application
    2018-2019 HMO Enrollment Application                                                                                                                               
        
    Forms:
    Anthem Change Form
    Health Insurance Election & Waiver Form 
    Health Insurance Pre-Tax Conversion
    Family Status Change Form
    Information on Marketplace Coverage Options
            
    Information on the Health Savings Account (HSA):
    HSA Enrollment Form
    HSA Payroll Deduction Change Form
    HSA Overview
    Understanding your HSA Account
    Video: Take a Tour of HSA Accounts
    HSA Web Access
    HSA Mobile App
    HSA Benefits Card Request
    Visit www.mywealthcareonline.com/fba/ for more information.

    General Forms and Information: 
    COBRA General Notice
    Anthem How to find a doctor
    Anthem "Anywhere" app
    For information on prescription drugs follow this link Anthem Prescription Drug Lists and select "National Drug Lists/3 tier". 
                   
           
  2. Employee Assistance Program (EAP)
    EAP Brochure

  3. Optional Benefits through Gallagher
    2019-2020 Benefit Booklet

    To make changes to your optional benefits outside of open enrollment due to a qualifying event, please complete the Family Status Change Form, submit to the payroll department and then contact Gallagher to request the changes.
               
  4. VRS Retirement
    Find information and forms at http://www.varetire.org/default.asp
    For Minnesota Life Insurance information and forms go to
    Optional Life Insurance
    Optional Life Waiver and Enrollment Form
    VRS Group Life Insurance Certificate
    https://web1.lifebenefits.com/sites/lbwcm/pd/vrs
    VRS Member Information Change Form
    VRS Beneficiary Designation Form
    User Guide for myVRS 
    VRS Plan 1 Handbook
    VRS Plan 2 Handbook     
    VRS Hybrid Plan Handbook   

    VRS Plan Comparison   

    You’re on the right road to move forward. Plan for tomorrow, today.

    The MBP is your online benefits statement providing important information about your retirement and other benefits as of June 30. You’ll find it by logging into your myVRS online account. Plan your retirement strategy today!

    View your MBP now. Go to www.varetire.org/myVRS to log in or create a secure online account.


     

  5. Long-Term Disability Insurance through Standard
    Standard Group LTD Certificate 
    Standard Group LTD Detail Policy 

       
  6. Retirement Savings Opportunity
    General Information on 403(b) and 457(b) Investments
    403(b) and 457(b) Authorized Vendors
    Salary Reduction Agreement 403b and 457b

  7. Workers' Compensation
    Reporting Incidents to Company Nurse Hotline
    Worker's Compensation Panel
    W/C Prescription Form

    8.  Montgomery County Education Foundation
         What is the Montgomery County Education Foundation?
         MCEF Donations Payroll Deduction Form

    9.  Sick Leave Bank
         Sick Leave Bank Enrollment Form

  

If your employment status changes from full-time to part-time please refer to this document Separation of Employment or Change in Status to find out about the impact on your employee benefits. 

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